2018 SWOK Kids' Camp ($175)
REGISTRATION FOR JULY 9-12, 2018
Email address *
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Gender *
Grade Completed (in May 2018) *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Parent or Guardian Name /Relationship *
Your answer
Parent/Guardian Contact Number *
Your answer
Secondary Contact Name/Relationship *
Your answer
Secondary Contact Number *
Your answer
Church *
Food Allergies
Your answer
Environmental Allergies (seasonal allergies, pet dander, bee stings, anything non-food)
Your answer
Drug Allergies--If none write NKDA (No Known Drug Allergies) *
Your answer
Any Medical Conditions (if none, write N/A) *
Your answer
Prescription medications will be sent to camp with child (to be administered by camp nurse only)--Mark all that apply *
Required
Over-the-Counter Medications that my child may take as needed (Check all that apply)
T-Shirt Size *
I give my child permission to swim: *
I agree to pay the LATE REGISTRATION amount of $175 to my local Church prior to 1st day of camp. I understand that if I cancel, my church may request to apply the fee to another camper for 2018 Camp or the registration fee may not be refunded. *
I agree to turn in the completed SWOK District Release and copy of my insurance information to my local Church by June 1 *
Required
I give permission for my child's picture to be used in documents, publications, and events for the campground, the church, and the SWOK District *
A copy of your responses will be emailed to the address you provided.
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